Active NPI
Eileen Garwood, P.H.D, MT-BC
- Specialist
- Fort Wayne, IN
National Provider Identifier
1336560531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 000743-1
- Practice address
- 8428 Stand Ridge Run
Fort Wayne, IN 46825-6262 - Phone
- (585) 305-0420
- NPI assigned
- Dec 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 000743-1 | NY | Primary |
Addresses
Primary practice location
8428 Stand Ridge Run
Fort Wayne, IN 46825-6262
Mailing address
8428 Stand Ridge Run
Fort Wayne, IN 46825-6262
Phone (585) 305-0420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000743-1 | NY | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1336560531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8428 STAND RIDGE RUN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468256262",
"telephone_number": "585-305-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8428 STAND RIDGE RUN",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468256262",
"telephone_number": "585-305-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARWOOD",
"first_name": "EILEEN",
"name_prefix": "Dr.",
"credential": "P.H.D, MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "000743-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.